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导致急性化学事故伤害的五大行业——有害物质应急事件监测,九个州,1999 - 2008年

Top five industries resulting in injuries from acute chemical incidents—Hazardous Substance Emergency Events Surveillance, nine states, 1999-2008.

作者信息

Anderson Ayana R, Wu Jennifer

出版信息

MMWR Suppl. 2015 Apr 10;64(2):47-53.

Abstract

PROBLEM/CONDITION: Because industries using and/or producing chemicals are located in close proximity to populated areas, U.S. residents are at risk for unintentional chemical exposures.

REPORTING PERIOD

1999-2008.

DESCRIPTION OF SYSTEM

The Hazardous Substances Emergency Events Surveillance (HSEES) system was operated by the Agency for Toxic Substances and Disease Registry during January 1991-September 2009 to collect data that would enable researchers to describe the public health consequences of chemical releases and to develop activities aimed at reducing the harm from such releases. This report summarizes data for the top five industries resulting in injuries from an acute chemical incident (lasting <72 hours) occurring in the nine states (Colorado, Iowa, Minnesota, New York, North Carolina, Oregon, Texas, Washington, and Wisconsin) that participated in HSEES during its last 10 full years of data collection (1999-2008).

RESULTS

Five industries (truck transportation, educational services, chemical manufacturing, utilities, and food manufacturing) accounted for approximately one third of all incidents in which persons were injured as a result of unintentional release of chemicals; the same five industries were responsible for approximately one third of all persons injured as a result of such releases.

INTERPRETATION

Acute chemical incidents in these five industries resulted in serious public health implications including the need for evacuations, morbidity, and mortality. PUBLIC HEALTH IMPLICATIONS: Targeting chemical incident prevention and preparedness activities towards these five industries provides an efficient use of resources for reducing chemical exposures. A variety of methods can be used to minimize chemical releases in industries. One example is the Occupational Safety and Health Administration's hierarchy of controls model, which focuses on controlling exposures to occupational hazards. The hierarchy includes elimination, substitution, engineering controls, administrative controls, and use of personal protective equipment.

摘要

问题/状况:由于使用和/或生产化学品的行业与人口密集地区相邻,美国居民面临意外接触化学品的风险。

报告期

1999 - 2008年。

系统描述

有害物质应急事件监测(HSEES)系统由有毒物质和疾病登记署在1991年1月至2009年9月期间运行,以收集数据,使研究人员能够描述化学品释放对公众健康的影响,并开展旨在减少此类释放危害的活动。本报告总结了在有害物质应急事件监测系统最后10个完整数据收集年份(1999 - 2008年)参与该系统的九个州(科罗拉多州、爱荷华州、明尼苏达州、纽约州、北卡罗来纳州、俄勒冈州、得克萨斯州、华盛顿州和威斯康星州)中,因急性化学事件(持续时间<72小时)导致人员受伤的前五大行业的数据。

结果

五个行业(卡车运输、教育服务、化学制造、公用事业和食品制造)约占因化学品意外释放导致人员受伤的所有事件的三分之一;同样这五个行业约占因此类释放导致受伤的所有人员的三分之一。

解读

这五个行业的急性化学事件对公众健康造成了严重影响,包括疏散需求、发病率和死亡率。

公共卫生影响

针对这五个行业开展化学事件预防和准备活动,能有效利用资源以减少化学品接触。可采用多种方法将行业内化学品释放降至最低。一个例子是职业安全与健康管理局的控制层级模型,该模型侧重于控制职业危害暴露。控制层级包括消除、替代、工程控制、行政控制以及使用个人防护设备。

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